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TWENTY YEARS OF INNOVATION SUPPORTED BY EDUCATION
L u g a n o , S w i t z e r l a n d11-13 APRIL 2019SYMPOSIUMINTERNATIONAL9th MOREH I G H L I G H T S B O O K
From April 11th to April 13th Medacta’s 9th M.O.R.E. International Symposium was held in Lugano, Switzerland.
This was a unique and exciting event, celebrating the 20th Anniversary of Medacta and scientifically focused on Personalized Medicine and the impact of customizable tools and patient-matched solutions in
various orthopaedic disciplines.
Medacta and the M.O.R.E. Institute welcomed 1,500 attendees from all over the world. Besides joint and spine sessions, the symposium - for the first time - included sessions focused on shoulder, knee and
hip treatments for sports medicine.
More than 130 Faculty members presented at the meeting at the Lugano Convention Center (Joint and Sports Medicine sessions) and
in the Exhibition Center Lugano - Conza Pavilion (Spine sessions).
TWENTY YEARS OF INNOVATION SUPPORTED BY EDUCATION
1,500ATTENDEES
130FACULTY MEMBERS
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Below are overviews for the programs that took place during the congress:
Knee Sports Medicine Day (Thursday, April 11)Designed with the patient and the anatomy in mind, the M-ARS ACL is an original concept that successfully mimics the native anatomical ACL while reconstructing it.
This concept includes dedicated implant, instruments and surgical technique.
Knee Arthroplasty Day (Friday, April 12) A successful and satisfactory knee replacement is achieved by mastering individual biomechanics and a range of dedicated techniques, personalized for each patient. This will optimize treatment, minimize tissue sacrifice and take advantage of state of
the art technological support.
Shoulder Sports Medicine Day (Friday, April 12)Shoulder instability and rotator cuff repairs require multiple devices and multiple techniques to achieve the goal of shoulder arthroscopic surgeries: pain relief and restored motion. Implant versatility is the key to support surgeons in
personalized patient treatments.
Hip Sports Medicine Day (Friday, April 12)Arthroscopic treatments for hip deformities and/or intra-articular damages are becoming more and more popular, aiming to halt degeneration of the joint and to prevent hip
osteoarthritis. Providing personalized solutions is the way to foster these surgeries.
Spine Sessions (Friday, April 12 - Saturday, April 13)How new trends and novel technologies, along with personalized patient specific treatments, can positively affect surgical practice with optimized clinical outcomes.
Hip Arthroplasty Day (Saturday, April 13)Modern tools and techniques span from pre-operative simulation and planning, to
revision and component removal.
Shoulder Arthroplasty Day (Saturday, April 13)Shoulder Arthroplasty is the fastest growing segment in orthopedics, mainly due to the clinical results provided by the modern products available. Innovation and
reproducibility are key to ensure excellent long-term results.
TWENTY YEARS OF INNOVATION SUPPORTED BY EDUCATION
For more information about the 9th M.O.R.E. International Symposium,
VISIT
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PERSONALIZED MEDICINEA combination of products and services that will drive the evolution of the medical world.
TWENTY YEARS OF INNOVATION SUPPORTED BY EDUCATION
KEYNOTE SPEAKERS
Bernhard JOST (CH) Douglas PADGETT (US)
Matthias ZUMSTEIN (CH) Paul HEINI (CH)Klaus RADERMACHER (DE)
JOINT SESSION SPORTS MED SESSION SPINE SESSION
CHAIRMEN
Knee day: 12th April
Peter KOCH (CH)Gareth SCOTT (UK)
Hip day: 13th April
Francesco M. BENAZZO (IT)Tyler D. GOLDBERG (US)
Shoulder day: 13th April
Ralph HERTEL (CH)Matthew D. SALTZMAN (US)
Knee day: 11th April
Christian FINK (AT)Rainer SIEBOLD (DE)
Hip day: 12th April
Frédéric LAUDE (FR)John O’DONNELL (AU)
Shoulder day: 12th April
Leesa M. GALATZ (US)Markus SCHEIBEL (DE)
Spine day 1: 12th April
Richard GUYER (US) Manabu ITO (JP)
Spine day 2: 13th April
Paul HEINI (CH)Christoph-Eckhard HEYDE (DE)
JOINT SESSION SPORTS MED SESSION SPINE SESSION
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FACULTY
Matthew Beal (US)David Benzaquen (FR)
Leela Biant (GB)Olivier Borens (CH)Piero Budassi (IT)
Panayiotis Christofilopoulos (CH)Cesare Faldini (IT)Richard Field (GB)
David Frohnmüller (DE)Robert Greenhow (US)
Wade Harper (AU)Alister Hart (GB)
Naeder Helmy (CH)Nicolas Holzer (CH)
Stephen M. Howell (US)David Jevsevar (US)
Yoshinori Kadoya (JP)Fabian Kalberer (CH)
Luc Kerboull (FR)Jeffrey Mandume Kerina (US)
Frédéric Laude (FR)Chien-Wen Liew (AU)
John Maltry (US)David Manning (US)John Masonis (US)
Joel Matta (US)Michael McAuliffe (AU)
Ryan G. Molli (US)Christophe Monnin (FR)
Peter Müller (DE)Akbar Nawab (US)Andrew Price (GB)
Pietro Simone Randelli (IT)Daevyd Rodda (AU)
Jose A. Rodriguez (US)Fernando Sanchez (US)Tom Savvoulidis (AU)
Anup Shah (US)John Skinner (GB)Michael Suk (US)
William R. Taylor (CH)Peter Thadani (US)
Bruno Toussaint (FR)Philippe Van Overschelde (BE)
Jonathan Vigdorchik (US)Rüdiger von Eisenhart-Rothe (DE)
Henning Windhagen (DE)Patrick Zingg (CH)
Matthias Zumstein (CH)
JOINT SESSION
Jitendra Balakumar (AU)Martin Beck (CH)
Josip N. Cakic (ZA)Christian Candrian (CH)
Panayiotis Christofilopoulos (CH)John G. Costouros (US)
Matteo Denti (CH)Michael Dienst (DE)Benjamin Domb (US)
Thomas Ellis (US)Richard Field (GB)
Michael B. Gerhardt (US)Mirco Herbort (DE)Bernhard Jost (CH)
Fabian Kalberer (CH)Peter Koch (CH)
Franz Sebastian Kralinger (AT)Andreas M. Müller (CH)
Akbar Nawab (US)Reza Omid (US)
Eden Raleigh (AU)Marc Safran (US)
Parminder J. Singh (AU)Robert Jacek Smigielski (PL)
Olivier Verborgt (BE)Andreas Weiler (DE)Tim Whitehead (AU)
SPORTS MED SESSION
Yuichiro Abe (JP)Kuniyoshi Abumi (JP)
Michael Akbar (DE)Christian Bach (AT)
Rudolf Bertagnoli (DE)Evalina Burger-Van Der Walt (US)
Alessandro Ducati (IT)Michael Duffy (US)Cesare Faldini (IT)
Mazda Farshad (CH)Jörg Franke (DE)
Jeffrey Henn (US)Richard Hynes (US)
Deszö J. Jeszenszky (CH)Takashi Kaito (JP)Andrew Kam (AU)
Frank Kandziora (DE)Yoshiharu Kawaguchi (JP)
Larry Khoo (US)
Christopher CJ Kleck (US)Claudio Lamartina (IT)
Geert Mahieu (BE)Keitaro Matsukawa (JP)Kevin J. McGuire (US)
Ralph Mobbs (AU)Brian Nielsen (US)
Itaru Oda (JP)Markus Pietrek (DE)
Francois Porchet (CH)Michael Rauschmann (DE)
Nima Salari (US)Kanji Sasaki (JP)
Gabriel C. Tender (US)Kevin Tschöke (DE)
Patricia Verstraete (BE)Mark Wang (US)
Clément Max Léonard Werner (CH)Michael Winking (DE)
SPINE SESSION
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from 12.00pm to 06.00pm - Lugano Convention Center
12.00pm LUNCH
01.30pm Knee Sports Med day opening
01.40pm SESSION 01 - ACL REPAIR Moderator: R. Siebold
Case presentation: ACL repair R. Siebold
ACL anatomy: understanding nature R. Smigielski
Single bundle reconstruction M. Denti
Double bundle reconstruction R. Siebold
M-ARS: design rationale C. Fink
M-ARS: surgical technique M. Herbort
Discussion and case solution
03.10pm COFFEE BREAK
03.40pm SESSION 02 - ACL REVISION SURGERY Moderator: R. Smigielski
Case presentation: ACL revision surgery R. Smigielski
Options: where to harvest? A. Weiler
Options: what has been done? P. Koch
Options: what to do? T. Whitehead
Discussion and case solution
04.50pm SESSION 03 - OTHER LIGAMENTS Moderator: C. Fink
Session introduction C. Fink
Case presentation: collateral ligament M. Herbort
My way of PCL reconstruction: options for getting better A. Weiler
Case presentation: meniscus A. Nawab
Discussion
05.50pm Knee Sports Med day closure
Thursday, April 11th - KNEE SPORTS MED DAY
SESSION 01 - ACL REPAIR
Return to anatomy is the trend, focusing on anatomic femoral/tibial tunnels and anatomic graft reconstruction
and insertion. Technique, dedicated tools and proper training are crucial.
SESSION 02 - ACL REVISION SURGERY
ACL re-tear rates are still increasing due to multiple factors. Different strategies are possible but the goal is to
treat a re-tear as primary surgery to raise the expected outcomes.
SESSION 03 - OTHER LIGAMENTS
“Minor” ligaments and, even more, meniscus tears are repaired more often than ever thanks to novel techniques
and available technologies. Results are encouraging.
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from 08.45am to 06.15pm - Lugano Convention Center
08.45am WELCOME
09.05am Knee Joint Replacement day opening
09.10am Making surgery special D. Padgett
09.30am SESSION 01 - BIOMECHANICS AND KNEE SURGERY Moderator: G. Scott
Session opening G. Scott
Biomechanics and kinematics of the knee joint W. R. Taylor
Calipered kinematic alignment: a personalized approach to TKA surgery
S. Howell
Kinematic alignment meets kinematic design H. Windhagen
Partial problems and total solutions! A. Price
Discussion
10.35am Prof. Freeman Memorial G. Scott
10.50am COFFEE BREAK
11.15am SESSION 02 - VALGUS KNEES AND CHALLENGES Moderator: J. Masonis
Case presentation: mild valgus J. Masonis
Valgus knees treated with GMK Sphere in a controlled ODEP study of 500 patients
R. Field
How I use what implant in valgus knees D. Manning
Kinematic alignment for valgus knees. Am I crazy?! P. Thadani
A balanced approach to valgus knees with medially stabilized implants
P. Van Overschelde
GMK Sphere for patients with high-flexion demand Y. Kadoya
Discussion and case solution
12.50pm LUNCH
Friday, April 12th - KNEE JOINT REPLACEMENT DAY
SESSION 02 - VALGUS KNEES AND CHALLENGES
Is it possible to apply the biomechanical concepts discussed in the first session to the valgus knees? Or is a
different treatment required? This session, based on case discussion, explores which strategies and devices
can be successfully applied, with a focus on the use of Medially Stabilized implants in valgus knees.
SESSION 01 - BIOMECHANICS AND KNEE SURGERY
The key to achieving patient satisfaction in knee replacement requires an understanding of the knee
biomechanics and personalized reproduction of the individual biomechanical environment. What is the role
of implant alignment?
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02.00pm SESSION 03 - THE JOYS AND CHALLENGES OF PARTIAL KNEE REPLACEMENT
Moderator: R. Molli
Case presentation: bi-lateral wear mostly medially R. Molli
Indication and failure, do implants matter? N. Helmy
Patient optimization pathways, personalized medicine J. M. Kerina
Finding the perfect combination of implant and technique A. Nawab
Accuracy and precision in UKA. What really matters P. Koch
Discussion and case solution
03.15pm SESSION 04 - TECHNOLOGIES FOR PERSONALIZED AND OPTIMIZED PATIENT SOLUTIONS
Moderator: L. Biant
Session opening L. Biant
Can reliable tools become more efficient - single use solutions
J. Maltry
Efficiency KneePack: LEAN process in TKA D. Benzaquen
Enhanced intra-operative assessment: new technologies for personalized ligament analysis
M. McAuliffe
What “value” means to patients and the role of technology
M. Suk
Discussion
04.15pm COFFEE BREAK
04.45pm SESSION 05 - REVISION TKA: FROM MISSION IMPOSSIBLE TO SUCCESS
Moderator: P. Koch
Session opening P. Koch
Unique challenges deserve unique solutions T. Savvoulidis
Constraint: when to use what? M. Beal
Fixation: when to use what? F. Sanchez
A protocol for effective infection management O. Borens
Discussion
05.50pm Knee Joint Replacement day closure
06.00pm 20th ANNIVERSARY: twenty years of innovation supported by education
KNEE JOINT REPLACEMENT DAY
SESSION 04 - TECHNOLOGIES FOR PERSONALIZED AND OPTIMIZED PATIENT SOLUTIONS
How can we benefit from advances made by contemporary manufacturing technologies?
In this session, the panel discusses the impact of technology and the health economics environment on the
knee replacement procedure.
SESSION 03 - THE JOYS AND CHALLENGES OF PARTIAL KNEE REPLACEMENT
Limiting treatment only to what is essential: how can we minimise the removal of functioning tissues? Partial
replacement and personalized conservative strategies are discussed over a real case, covering indications, implant design, surgical technique and supporting technologies.
SESSION 05 - REVISION TKA: FROM MISSION IMPOSSIBLE TO SUCCESS
When the water is rising and the surgical team is sweating: the difficult cases that everyone wants to see in
his/her past only. This session reviews strategies and tools to manage revisions and infections.
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from 08.45am to 01.00pm - Lugano Convention Center
08.45am WELCOME
09.05am Shoulder Sports Med day opening
09.10am New trends in understanding shoulder pathology and arthroscopic treatments
M. Zumstein
09.30am SESSION 01 - INSTABILITY Moderator: L. Galatz
Case presentation: shoulder instability L. Galatz
Algorithm of treatment of shoulder instability F. Kralinger
The Latarjet technique C. Candrian
The Bankart technique A. Müller
Bone block procedures: indications and techniques O. Verborgt
Current results and new trends E. Raleigh
Discussion and case solution
11.00am COFFEE BREAK
11.30am SESSION 02 - ROTATOR CUFF TREATMENTS Moderator: M. Scheibel
Case presentation: rotator cuff tear M. Scheibel
Balloon interspace arthroplasty R. Omid
Superior capsular reconstruction J. Costouros
Reverse TSA for irreparable rotator cuff tears B. Jost
When is a tendon transfer the solution? M. Zumstein
Discussion and case solution
12.50pm Shoulder Sports Med day closure
01.00pm LUNCH
Friday, April 12th - SHOULDER SPORTS MED DAY
SESSION 02 - ROTATOR CUFF TREATMENTS
New rotator cuff treatments are showing moderate results (as the interspace balloons), promising results (as SCR)
but still controversial. RTSA is a solid and reliable solution, coupled with muscle transfer in case of major
muscles inefficiencies.
SESSION 01 - INSTABILITY
Latarjet, Bankart, Bone Block, multiple muscle transfer: those are just some of the options to address shoulder
instability. Is there an algorithm to follow?
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from 01.00pm to 06.15pm - Lugano Convention Center
01.00pm LUNCH
02.00pm Hip Sports Med day opening
02.10pm SESSION 01 - LABRAL TREATMENTS Moderator: J. O’Donnell
Introduction into labral repair J. O'Donnell
Why is the labrum important? M. Safran
When to debride-detach-recess-repair the labrum R. Field
Anchor placement: portals, direction, distance to cartilage
P. Christofilopoulos
Treatment options for the chondrolabral junction and labral repair technique in different pathologies
J. Cakic
Pitfalls and complications of labral surgery T. Ellis
Discussion
03.45pm COFFEE BREAK
04.10pm SESSION 02 - UNSTABLE HIP PRESERVATION Moderator: F. Laude
Case Presentation: Unstable hip F. Laude
Hip stability - osseous and soft tissue stabilizers of the hip joint
M. Dienst
Wave sign P. J. Singh
Borderline hips - when to do what? M. Beck
Microinstability of the hip in the athlete B. Domb
Minimal invasive PAO J. Balakumar
Are there still indications for surgical hip dislocation? F. Kalberer
My strategies for resecting the pincer and cam M. Gerhardt
Discussion and case solution
05.55pm Hip Sports Med day closure
06.00pm 20th ANNIVERSARY: twenty years of innovation supported by education
Friday, April 12th - HIP SPORTS MED DAY
SESSION 02 - UNSTABLE HIP PRESERVATION
Hip preservation surgery for the treatment of pre-arthritic hip pain is becoming more widespread as a result of a
dedicated patient specific customized solution. Real cases presentations are representing the actual options.
SESSION 01 - LABRAL TREATMENTS
Debridement, repair and replacement are the most common hip labral tear surgical treatments, dependent
upon the severity of the tear.How those procedures have evolved and what are the recommendations
for the future?
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from 08.45am to 06.15pm - Lugano Exhibition Center - MAC 6
08.45am WELCOME
09.05am Spine Day 1 opening
09.15am 20 years of computer assistance in spine surgery - a technical review of history and trends
K. Radermacher
09.35am SESSION 01 - HOW CRITICAL IS PRE-OPERATIVE PLANNING IN SPINE SURGERY?
Moderator: M. Farshad
Planning in spinal surgery: introduction & case presentation
M. Farshad
Challenging spine surgeries supported by 2D planning methods
N. Salari
The role of 3D imaging for preoperative planning in spine surgery
J. Henn
2D vs 3D surgery planning: a debate on strengths and limits B. Nielsen vs M. Akbar
Discussion and case solution
10.45am COFFEE BREAK
11.15am SESSION 02 - NAVIGATED ASSISTED MIDLINE CORTICAL SCREW FIXATION: A REVOLUTION IN MIS SURGERY
Moderator: C. Bach
Session opening C. Bach
The Cortical Bone Trajectory (CBT) advantage: the perspective of the inventor
R. Hynes
Midline cortical approach: a new paradigm for the cortical bone screws
K. Matsukawa
Navigated assisted technique in midline cortical approach: an added value for MIS surgery
G. Mahieu
Midline cortical: minimally invasive surgery for maximal muscle sparing
A. Ducati
Debate: MySpine MC vs standard MIS and open approaches
P. Verstraete vs M. Wang vs K. Tschöke
Discussion
Friday, April 12th - SPINE DAY 1
SESSION 01 - HOW CRITICAL IS PRE-OPERATIVE PLANNING IN SPINE SURGERY?
Pre-operative planning in spine surgery is a strong tool to predict the correction of a scoliotic spine and guide
surgical treatment in degenerative spine, as a function of the patient characteristics. 3D planning, rather than 2D, may represent a more significant predictive instrument to simulate the real spine structure and its instrumentation.
SESSION 02 - NAVIGATED ASSISTED MIDLINE CORTICAL SCREW FIXATION: A REVOLUTION
IN MIS SURGERY
A midline Cortical approach, with diverging long screws driven through the strong cortical vertebral bone,
represents a powerful alternative to the traditional pedicle screw trajectory because of its strong fixation and minimal
invasiveness resulting in an important outcome in terms of patient wellness.
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12.50pm LUNCH
02.15pm SESSION 03 - SUCCESSFUL CLINICAL STRATEGIES FOR CERVICAL DEGENERATIVE SPINE AND DEFORMITY
Moderator: I. Manabu
Session opening I. Manabu
Small pedicles: how to reduce the risk of patient injuries? I. Oda
Cervical pedicle screw vs lateral mass fixation: a plus for deformity and degenerative spine
K. Abumi
Cervical pedicle screw supported by navigated assisted patient matched technology
M. Winking
Ossification of posterior longitudinal ligament syndrome: a common spine disorder in Japan
Y. Kawaguchi
ACDF vs cervical disc arthroplasty: indications, long term results and trends
F. Porchet
Osteotomies in cervical spine: are they really needed? A. Kam
Revision, deformity and tumor in the cervical and cervicothoracic spine. Treatment planning and therapeutic options
M. Rauschmann
Discussion
04.00pm COFFEE BREAK
04.35pm SESSION 04 - CURRENT TECHNOLOGIES IN SPINE SURGERY AND FUTURE TRENDS
Moderator: R. Guyer
The role of current technologies in spine surgery R. Guyer
Patient matched technologies & patient specific implants: solutions built around the unique anatomy of each patient
R. Mobbs
Navigation, robotics and the surgeon: does it improve outcomes?
E. Burger-Van Der Walt
Augmented and virtual reality: a piece of future into the OR?
Y. Abe
Future trends: where will we go? R. Guyer
Discussion
05.50pm Spine Day 1 closure
06.00pm 20th ANNIVERSARY: twenty years of innovation supported by education
SPINE DAY 1
SESSION 03 - SUCCESSFUL CLINICAL STRATEGIES FOR CERVICAL DEGENERATIVE SPINE
AND DEFORMITY
Learn and discuss relevant advancements in cervical spine surgery with emphasis on challenging
anatomies and how to treat them with patient specific technology that demonstrates the application of
selected technique options for various cervical spinal procedures.
SESSION 04 - CURRENT TECHNOLOGIES IN SPINE SURGERY AND FUTURE TRENDS
With the improvement of navigator-assisted techniques and robotics, many forms of spine surgery we currently do may be replaced with outpatient procedures with minimal
recovery and improved function.
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from 09.00am to 04.00pm - Lugano Convention Center
09.00am Hip Joint Replacement day opening
09.10am Ten years outcomes using the Quadra and the Versafitcup systems through the AMIS technique
P. Zingg
09.20am Medacta Hip Results D. Bergadano
09.30am SESSION 01 - PLANNING TO SUCCEED Moderator: F. M. Benazzo
Session opening F. M. Benazzo
Improving accuracy using patient specific guides A. Hart
Choosing the right stem J. A. Rodriguez
Optimizing instruments and implants. An easier, better day in the OR
F. Kalberer
Simplifying the hip-spine relationship in THR J. Vigdorchik
3D planning for 3D patients! P. Christofilopoulos
Reproducing what was planned D. Frohnmüller
Discussion
11.05am COFFEE BREAK
11.30am SESSION 02 - OPTIMIZING EDUCATION - US AND THEM
Moderator: D. Jevsevar
Session opening D. Jevsevar
The role of personalized education: my AMIS experience C.-W. Liew
The effectiveness of a planning tool, 3D printed guides and targeted education on surgical learning curve
J. Skinner
Educating and managing patients using todays’ technology
D. Rodda
Pushing the surgeon frontier - the bikini incision R. Field
Making AMIS work in an outpatient setting R. Greenhow
Discussion
12.50pm LUNCH
Saturday, April 13th - HIP JOINT REPLACEMENT DAY
SESSION 01 - PLANNING TO SUCCEED
Total hip replacement offers great satisfaction perspectives to patients and surgeons alike.
Despite this, some patients still score poorly and it is extremely important to reduce such conjuncture as much
as possible. For this reason, personalized planning procedures, coupled with intelligent and active instruments, can be used to optimize results.
SESSION 02 - OPTIMIZING EDUCATION - US AND THEM
How can we optimize the patient experience for total hip replacement? A minimally invasive surgical technique,
carefully learnt, and a well-constructed personalized pathway before and after the surgery are the
key to achieving successful results.
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02.00pm SESSION 03 - REVISION REVISITED Moderator: T. D. Goldberg
Session opening T. D. Goldberg
Challenges and solutions in revision THR C. Faldini
Revision surgery following anterior approach THA: is the choice of approach always anterior?
J. Matta
Why use the Kerboull Cage in acetabular reconstruction? L. Kerboull
The Versacem Cup for patients at high risk of instability R. von Eisenhart-Rothe
Surgical strategies for femoral revision J. Masonis
Could shorter be better? The "Desescalade" technique F. Laude
Case discussion
03.55pm Hip Joint Replacement day closure
04.00pm Close of the 9th M.O.R.E. International Symposium
HIP JOINT REPLACEMENT DAY
SESSION 03 - REVISION REVISITED
Removal and replacement of failed implants is still a challenge that needs specific training, dedicated tools and
profound knowledge of the variety of surgical strategies. This has been discussed and real cases has
been shown for review.
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from 09.00am to 04.00pm - Lugano Convention Center
09.00am Shoulder Joint Replacement day opening
09.10am Shoulder arthroplasty: what I have learned in the past 15 years
B. Jost
09.30am SESSION 01 - HUMERUS Moderator: M. Saltzman
Case presentation: primary osteoarthritis without glenoid deficiency
M. Saltzman
Humerus - 3D Planning P. Müller
When should you use a standard stem, and how do you do it?
M. Zumstein
Short stem: when and why? C. Monnin
The stemless option B. Jost
Discussion and case solution
PSI: when is it helpful? P. Müller
11.00am COFFEE BREAK
11.25am SESSION 02 - GLENOID IN ANATOMIC Moderator: R. Hertel
Case presentation: primary osteoarthritis with glenoid deficiency
R. Hertel
Glenoid in anatomic - 3D planning W. Harper
Standard PE glenoid: reaming the high side A. Shah
Augmented PE implants to preserve bone M. Saltzman
Straight reverse is the solution B. Toussaint
The mirror could be the solution C. Monnin
Discussion and case solution
01.00pm LUNCH
Saturday, April 13th - SHOULDER JOINT REPLACEMENT DAY
SESSION 01 - HUMERUS
Humeral components choice and fixation is a debated topic: choices are not only driven by surgeon preferences
or literature results but supported by sophisticated 3D planning tools.
SESSION 02 - GLENOID IN ANATOMIC
Glenoid implant positioning is the most controversial topic. Different concepts are all aiming at one goal:
improve function and foster long term survival. Defining the pathology, improving surgical planning,
improving surgical tools and providing adequate implants to implement the plans represent a strong value chain
that might be transformative.
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02.15pm SESSION 03 - GLENOID IN REVERSE Moderator: M. Zumstein
Case presentation: combined irreparable cuff deficiency and glenoid deficiency
M. Zumstein
Optimal component positioning in reverse shoulder arthroplasty
P. Randelli
Bone augmented glenoid offset in reversed shoulder arthroplasty, where are we?
N. Holzer
Bone grafting with a threaded baseplate A. Shah
Metal augmented solutions P. Budassi
Discussion and case solution
03.45pm Shoulder Joint Replacement day closure
04.00pm Close of the 9th M.O.R.E. International Symposium
SHOULDER JOINT REPLACEMENT DAY
SESSION 03 - GLENOID IN REVERSE
Baseplate positioning to maximize abutment-free range of motion in glenoid bone defects is the challenge.
The state of the art and guidelines are discussed through case presentation and interactive panel discussion.
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from 09.00am to 03.15pm - Lugano Exhibition Center - MAC 6
09.00am Spine Day 2 opening
09.10am Modern school vs heavy metal P. Heini
09.30am SESSION 05 - SURGICAL TREATMENTS IN CHALLENGING AGEING SPINE
Moderator: F. Kandziora
Session opening F. Kandziora
MIS techniques for segmental sagittal balance restoration
L. T. Khoo
Adult deformity: can assisted navigation technique make it easier?
C. Lamartina
Stand Alone ALIF cages and circumferential approaches: a tool for optimal balance recovery
C. J. Kleck
The ALIF: an MIS approach for the challenging degenerative lumbar spine
M. Duffy
Minimally invasive TLIF options for lumbar spondylolisthesis
G. C. Tender
The impact of bridging cages in osteoporotic patients C.-E. Heyde
Management of osteoporotic patients with degenerative disease: time to augment?
J. Franke
Discussion
11.05am COFFEE BREAK
11.30am SESSION 06 - ADOLESCENT SPINE DEFORMITY AND TREATMENT OPTIONS
Moderator: C.-E. Heyde
Session opening C.-E. Heyde
2D vs 3D dimensional plan alignment in adolescent idiopathic scoliosis
K. Sasaki
Multi segmental manoeuvers for the recovery of thoracolumbar alignment and spino-pelvic harmony in AIS
C. Faldini
The impact of personalized medicine in challenging spine deformities
D. Jeszsenszky
Debate: decreasing radiation exposure during spine surgery and interventional procedures
T. Kaito vs K. McGuire
Discussion
Saturday, April 13th - SPINE DAY 2
SESSION 05 - SURGICAL TREATMENTS IN CHALLENGING AGEING SPINE
Treatment of the adult ageing spine is challenging due to the complex nature of anatomical degeneration/deformity
and high prevalence of comorbidities. Spino-pelvic harmony recovery is a key factor that can be
assisted by software and hardware.
SESSION 06 - ADOLESCENT SPINE DEFORMITY AND TREATMENT OPTIONS
AIS can be corrected by several surgical techniques as a result of a posterior fixation and the revamp of anterior
approaches and less impacting surgical practices. The need to reduce dose irradiation during diagnosis is a
natural demand for these young patients.
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12.45pm LUNCH
02.00pm SESSION 07 - INCIDENCE OF REVISION SURGERY TREATMENTS RATIONALE AND COMPLICATIONS
Moderator: E. Burger-Van Der Walt
Session opening E. Burger-Van Der Walt
Surgical tactics to overcome proximal junction kyphosis and revision treatments
R. Bertagnoli
Clinical outcome following revision surgery for lumbar pseudarthrosis: which treatment fits best?
M. Pietrek
SI joint fusion in rescue surgeries: an eligible treatment?
C. Werner
Non-union, implant misplacement, neurologic deficit, ASD and sagittal plan deformity: 5 major reasons for spinal revision surgery in one case
F. Kandziora
Discussion
03.05pm Spine Day 2 closure A
03.15pm Close of the 9th M.O.R.E. International Symposium
SPINE DAY 2
SESSION 07 - INCIDENCE OF REVISION SURGERY TREATMENTS RATIONALE AND COMPLICATIONS
Revision spine surgeries are technically challenging with inconsistent outcome results and are caused by a lack of
primary treatment performance. Several techniques, supported by better planning, can help
to approach them properly.
9th
SYMPOSIUMINTERNATIONAL
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